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FLORIDA EYE CONSULTANTS INC NPI 1962416511


NPI Information

NPI: 1962416511
Provider Name: FLORIDA EYE CONSULTANTS INC

Doing Business As: THE EYE INSTITUTE

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

CLIA Number: 10D2080753

Address:
1995 W NASA BLVD
SUITE 200
MELBOURNE, FL
ZIP 32904
Phone: (321) 722-4443
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FLORIDA EYE CONSULTANTS INC is a medical specialty clinic center in Melbourne, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). FLORIDA EYE CONSULTANTS INC NPI is 1962416511. The provider is registered as an organization entity type.
The provider Is Doing Business As The Eye Institute.

The provider's business location address is:

1995 W NASA BLVD
SUITE 200
MELBOURNE, FL
ZIP 32904-300
Phone: (321) 722-4443
Fax: (321) 722-2334

The provider's authorized official is Tara Mitchell .
The authorized official title is Credentialing Coordinator and has the following contact phone number (321) 722-4443.

The CLIA number assigned to this NPI record is 10D2080753 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/28/2006 and was last updated on 9/6/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical SpecialtyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
121125OTHERFLORIDABC/BS FL
2255267100MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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